Mark Mahbod Shafa, MD | |
3160 Geneva St, Los Angeles, CA 90020-1117 | |
(213) 368-3338 | |
(213) 368-3314 |
Full Name | Mark Mahbod Shafa |
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Gender | Male |
Speciality | Anesthesiology |
Location | 3160 Geneva St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891845400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A61060 (California) | Primary |
Entity Name | Ventura County Anesthesia Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679837645 PECOS PAC ID: 7113173543 Enrollment ID: O20120817000162 |
Entity Name | La Quality Care Anesthesia Consultants Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427470053 PECOS PAC ID: 3779706874 Enrollment ID: O20140519000260 |
Entity Name | Mark Shafa Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801414776 PECOS PAC ID: 1254757453 Enrollment ID: O20200819000546 |
Mailing Address | Practice Location Address |
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Mark Mahbod Shafa, MD Po Box 8500, Lockbox 7642, Shriners Hospitals For Children Los Angeles, Philadelphia, PA 19178-7642 Ph: (813) 281-8478 | Mark Mahbod Shafa, MD 3160 Geneva St, Los Angeles, CA 90020-1117 Ph: (213) 368-3338 |
Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713 | |
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271 | |
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748 | |
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766 | |
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 3325, Los Angeles, CA 90095 Phone: 310-267-8626 Fax: 310-267-3899 | |
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794 | |
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061 |